HomeMy WebLinkAbout1980, 09-09 Permit: 80-9856 Plumbing FixturesI
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
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LOT BLOCK I ON
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LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OW
3
ADDRESS
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CON V/2k_4.
CTOR
AD RESS
/31- 03N,761._442,06
DESIGNER
5.
6.
PHONE
ADDRESS
ZI P
PHONE
ZI
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eel
PHONE
Actual Set Backs in Feet
North 'South `East 'West
Size of Parcel I Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation 1 Building Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
Main Floor
Upper Floors I Garage Area
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
D...NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑-PLMB. ❑ MECH. 0 M.H. 0 POOL
DESCRIBE WORK
8. ,(�t l �� l
VALUATION
9.
SOURCE
OF
UTILITIES
ELECTRIC
WATER
❑ OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public 0 Private 0
USE CODE
Req'd.
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL faPPROVALS
NAME DATE
Env. Health
•
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui ii�n(g.Tec nician'7
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SPECIAL CONDITIONS:
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N/G
ZG4-0
1 w 6/
S1.
c)dt
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building y
Plumbing GCS (fA)
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $Yn��-,
PERMIT riUMBER
03* *28.00
*2800
*28.006
A *0.00
98552
09-09-80
z 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE I 0 9 0-049'-181;0 9 8 5, 6 z * 2 8. 0 0 2
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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